Individual provider · Type 1 NPI
Stacia Nichole Larive
Adult Care Home Facility · Cadillac, MI
NPI number
1497368187
Active
Practice location
105 Vine St
Cadillac, MI 49601-2435
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | AF830403510 (MI) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Another provider at this address
About NPI 1497368187
Stacia Nichole Larive's National Provider Identifier is 1497368187, issued on Aug 24, 2020. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Cadillac, MI. The record was last updated on Aug 24, 2020.